Ò»¡¢ÆÊ½âѧ½Ç¶ÈÆÊÎöÎïÀí¿ÉÄÜÐÔ
´ÓÈËÌåÆÊ½â½á¹¹ÆÊÎö£¬Å®ÐÔÉúֳϵͳ¾ßÓжàÖØÐÄÀíÆÁÕÏ¡£×Ó¹¬¾±£¨cervix£©×÷ΪÅþÁ¬ÒõµÀµÄÃÅ»§£¬ÆäճĤ²ãÖðÈÕÉøÍ¸pHÖµ3.8-4.4µÄËáÐÔÕ³Òº£¬ÕâÖÖÇéÐξ߱¸×ÔÈ»µÄÏû¶¾¹¦Ð§¡£¼´±ãÔÚ¼«¶Ë°¸ÀýÖУ¬ÈκÎÒìÎï½øÈ빬ǻǰ¶¼ÐèÒªÍ»ÆÆËĵÀ·ÀµØ£ºÒõµÀñ·Áþ£¨vaginal fornix£©µÄÍäÕ۽ṹ¡¢¹¬¾±Õ³ÒºË¨µÄÎïÀí×è¸ô¡¢×Ó¹¬¼¡²ãµÄËõ¶Ì»úÖÆÒÔ¼°ÄÚĤϸ°ûµÄÍÌÊÉ×÷Óá£Êý¾ÝÏÔʾ£¬2019ÄêÈ«Çò¹æÄ£ÄÚ¾ºËʵµÄÒì³£ÒìÎïÈëÌå°¸ÀýÖУ¬93%ϵҽÓÃÆ÷е²ÐÁôËùÖ¡£
¶þ¡¢³¬Éù²¨ÊÖÒյļì²â°ü¹Ü
ÏÖ´úÒ½ÁƼì²âÊÖ¶ÎÒÑÄܾ«×¼Ì½²é¸¾¿ÆÎÊÌâ¡£¸ßƵÒõµÀ³¬Éù£¨transvaginal ultrasound£©¿ÉÇåÎúÏÔʾ0.5mmÒÔÉϵŬǻÒì³££¬2021ÄêÌìÏÂÎÀÉú×éÖ¯ÍÆ¹ãµÄÐÂÐÍÈýά³¬ÉùÔìÓ°ÊÖÒÕ£¬Æä¿Õ¼äÇø·ÖÂʵִï0.2mm¼¶±ð¡£Õë¶ÔÍø´«"ÉßÀàÈëÌå"µÄÌØÊâ°¸Àý£¬³¬Éù¼ì²éÄÜ¿ìËÙÅбðÕæÊµ²¡Àí¸Ä±äÓëÐÄÀí»Ã¾õ¡£ÏÖʵÁÙ´²ÖУ¬ÔøÓл¼ÕßÒòÊäÂѹÜÄÚ¼ÄÉú»×³æÒýÆð¸¹²¿Ö×ÕÍ£¬¾³¬ÉùÖ¸µ¼µÄ¹¬Ç»¾µÊÖÊõÀÖ³ÉÈ¡³ö5Ìõ»îÌåÏ߳档
Èý¡¢Ãñ¼ä´«Ëµ±³ºóµÄÉç»áÒâÀí
ΪºÎ´ËÀà¹ÖÒì´«ÑÔÄܹ»Ò»Á¬Èö²¥£¿ÃñË×ѧÑо¿Õ¹ÏÖ£¬ÔÚÒ½ÁÆÌõ¼þ±¡ÈõµÄµØÇø£¬ÈËÃǶÔÄÑÒÔÚ¹Ê͵ĸ¾¿ÆÖ¢×´»á¾ÙÐÐÉñÃØ»¯½â¶Á¡£¹ÅÒ½¼®¼Í¼µÄ"Éß¹ÆÖ¢"£¬ÊµÎªÊäÂѹܻýË®»òÖØ´ó×Ó¹¬¼¡ÁöµÄ²¡ÀíÌåÏÖ¡£ÏÖ´úÐÄÀíѧʵÑé֤ʵ£¬Ô¼3%µÄñ¯Ö¢»¼Õ߻ᱬ·¢"ÌåÄÚÒìÎï¼ÄÉú"µÄÇûÌ廯֢״£¬ÕâÐèҪרҵµÄ¾«Éñ¿ÆÆÀ¹ÀÓ븾¿Æ¼ì²éÁª¶¯ÕïÁÆ¡£
ËÄ¡¢ÉúֳϵͳÒìÎï·À»¤Ö¸ÄÏ
Ô¤·À²¡ÀíÐÔÒìÎïÇÖÈëÐè×¢ÖØÈý¸ÅÂԵ㣺×èÖ¹ÔÚÒ°ÍâÂãÂ¶×øÎÔ£¬Ã¿Ô¾ÙÐй淶µÄÒõµÀ×Լ죬ʵʱ´¦Öóͷ£Òì³£ÒõµÀÉøÍ¸Îï¡£ÌìÏÂÎÀÉú×éÖ¯½¨ÒéµÄ"ÉúÖ³¿µ½¡Èýõè¾¶·À»¤"°üÀ¨£ºÒ»Ñùƽ³£Ê¹Óú¬ÈéËá¾úµÄÕչ˻¤Ê¿²úƷά³ÖËáÐÔÇéÐΣ¬ÐÔÐÐΪºó15·ÖÖÓÄÚÅÅÄò³åÏ´£¬ÒÔ¼°Ã¿ÄêÖÁÉÙ1´Î¹¬¾±Ï¸°ûѧɸ²é¡£ÌØÊâְҵȺÌåÈçµØÖÊ¿±Ì½Ö°Ô±£¬½¨ÒéÅ䱸רҵ·À»¤×°±¸¡£
Î塢ҽѧ½ôÆÈÇéÐδ¦Öóͷ£Á÷³Ì
µ±·ºÆðÒì³£¸¹Õͺϲ¢ÒõµÀ³öѪʱ£¬Ó¦×ñÕÕ"»Æ½ð2Сʱ"ÇÀ¾ÈÔÔò¡£½ÓÄÉÇüÏ¥²àÎÔλ±ÜÃâÄÚ³öѪ¼ÓÖØ£¬Á¬Ã¦ÕÉÁ¿ÑªÑ¹ºÍÂö²«ÆµÂÊ£¬¼Í¼ÒõµÀÉøÍ¸ÎïÐÔ×´¡£Èý¼×Ò½ÔºµÄ±ê×¼»¯´¦Öóͷ£Á÷³Ì°üÀ¨£ºÑªÍ¨ÀýÓë¦Â-hCGÁªºÏ¼ì²âɨ³ý¹¬ÍâÔУ¬ÔöÇ¿CTɨÃ趨λ²¡ÔÒÔ¼°ÔÚ³¬ÉùÖ¸µ¼ÏµĽôÆÈÇ幬Êõ¡£2023Äê×îÐÂÁÙ´²Ö¸ÄÏÇ¿µ÷£¬ÒÉËÆÉúÎïÐÔÒìÎïÇÖÈëÐèͬ²½¾ÙÐв¡ÔÌåDNA²âÐò¡£
ÃæÁÙÍøÂçÈö²¥µÄÀëÆæ¿µ½¡´«ÑÔ£¬ÎÒÃǼÈÒª¼á³Ö¿ÆÑ§ÀíÐÔ£¬Ò²ÒªÖØÊÓÕæÊµµÄ¸¾¿Æ¿µ½¡Î¬»¤¡£°´ÆÚÌå¼ìÁ¬ÏµÏÖ´ú¼ì²âÊÖÒÕ£¬ÄÜÓÐÓÃÔ¤·ÀÏ¢Õù¾ö99%µÄÉúֳϵͳÒì³£¡£¼Çס£ºÒõµÀÇéÐξ߱¸Ç¿Ê¢µÄ×Ô¾»ÄÜÁ¦£¬ÈκÎÎ¥·´ÆÊ½âѧ֪ʶµÄ"ÒìÎïÈëÇÖ"´«Ëµ£¬¶¼ÊǶÔÏÖ´úҽѧµÄÎó½â¡£¹Ø×¢Õý¹æÇþµÀµÄҽѧÐÂÖª£¬²ÅÊÇÊØ»¤¿µ½¡µÄ׼ȷ֮µÀ¡£
Ò»¡¢ÆÊ½âѧ½Ç¶ÈÆÊÎöÎïÀí¿ÉÄÜÐÔ
´ÓÈËÌåÆÊ½â½á¹¹ÆÊÎö£¬Å®ÐÔÉúֳϵͳ¾ßÓжàÖØÐÄÀíÆÁÕÏ¡£×Ó¹¬¾±£¨cervix£©×÷ΪÅþÁ¬ÒõµÀµÄÃÅ»§£¬ÆäճĤ²ãÖðÈÕÉøÍ¸pHÖµ3.8-4.4µÄËáÐÔÕ³Òº£¬ÕâÖÖÇéÐξ߱¸×ÔÈ»µÄÏû¶¾¹¦Ð§¡£¼´±ãÔÚ¼«¶Ë°¸ÀýÖУ¬ÈκÎÒìÎï½øÈ빬ǻǰ¶¼ÐèÒªÍ»ÆÆËĵÀ·ÀµØ£ºÒõµÀñ·Áþ£¨vaginal fornix£©µÄÍäÕ۽ṹ¡¢¹¬¾±Õ³ÒºË¨µÄÎïÀí×è¸ô¡¢×Ó¹¬¼¡²ãµÄËõ¶Ì»úÖÆÒÔ¼°ÄÚĤϸ°ûµÄÍÌÊÉ×÷Óá£Êý¾ÝÏÔʾ£¬2019ÄêÈ«Çò¹æÄ£ÄÚ¾ºËʵµÄÒì³£ÒìÎïÈëÌå°¸ÀýÖУ¬93%ϵҽÓÃÆ÷е²ÐÁôËùÖ¡£
¶þ¡¢³¬Éù²¨ÊÖÒյļì²â°ü¹Ü
ÏÖ´úÒ½ÁƼì²âÊÖ¶ÎÒÑÄܾ«×¼Ì½²é¸¾¿ÆÎÊÌâ¡£¸ßƵÒõµÀ³¬Éù£¨transvaginal ultrasound£©¿ÉÇåÎúÏÔʾ0.5mmÒÔÉϵŬǻÒì³££¬2021ÄêÌìÏÂÎÀÉú×éÖ¯ÍÆ¹ãµÄÐÂÐÍÈýά³¬ÉùÔìÓ°ÊÖÒÕ£¬Æä¿Õ¼äÇø·ÖÂʵִï0.2mm¼¶±ð¡£Õë¶ÔÍø´«"ÉßÀàÈëÌå"µÄÌØÊâ°¸Àý£¬³¬Éù¼ì²éÄÜ¿ìËÙÅбðÕæÊµ²¡Àí¸Ä±äÓëÐÄÀí»Ã¾õ¡£ÏÖʵÁÙ´²ÖУ¬ÔøÓл¼ÕßÒòÊäÂѹÜÄÚ¼ÄÉú»×³æÒýÆð¸¹²¿Ö×ÕÍ£¬¾³¬ÉùÖ¸µ¼µÄ¹¬Ç»¾µÊÖÊõÀÖ³ÉÈ¡³ö5Ìõ»îÌåÏ߳档
Èý¡¢Ãñ¼ä´«Ëµ±³ºóµÄÉç»áÒâÀí
ΪºÎ´ËÀà¹ÖÒì´«ÑÔÄܹ»Ò»Á¬Èö²¥£¿ÃñË×ѧÑо¿Õ¹ÏÖ£¬ÔÚÒ½ÁÆÌõ¼þ±¡ÈõµÄµØÇø£¬ÈËÃǶÔÄÑÒÔÚ¹Ê͵ĸ¾¿ÆÖ¢×´»á¾ÙÐÐÉñÃØ»¯½â¶Á¡£¹ÅÒ½¼®¼Í¼µÄ"Éß¹ÆÖ¢"£¬ÊµÎªÊäÂѹܻýË®»òÖØ´ó×Ó¹¬¼¡ÁöµÄ²¡ÀíÌåÏÖ¡£ÏÖ´úÐÄÀíѧʵÑé֤ʵ£¬Ô¼3%µÄñ¯Ö¢»¼Õ߻ᱬ·¢"ÌåÄÚÒìÎï¼ÄÉú"µÄÇûÌ廯֢״£¬ÕâÐèҪרҵµÄ¾«Éñ¿ÆÆÀ¹ÀÓ븾¿Æ¼ì²éÁª¶¯ÕïÁÆ¡£
ËÄ¡¢ÉúֳϵͳÒìÎï·À»¤Ö¸ÄÏ
Ô¤·À²¡ÀíÐÔÒìÎïÇÖÈëÐè×¢ÖØÈý¸ÅÂԵ㣺×èÖ¹ÔÚÒ°ÍâÂãÂ¶×øÎÔ£¬Ã¿Ô¾ÙÐй淶µÄÒõµÀ×Լ죬ʵʱ´¦Öóͷ£Òì³£ÒõµÀÉøÍ¸Îï¡£ÌìÏÂÎÀÉú×éÖ¯½¨ÒéµÄ"ÉúÖ³¿µ½¡Èýõè¾¶·À»¤"°üÀ¨£ºÒ»Ñùƽ³£Ê¹Óú¬ÈéËá¾úµÄÕչ˻¤Ê¿²úƷά³ÖËáÐÔÇéÐΣ¬ÐÔÐÐΪºó15·ÖÖÓÄÚÅÅÄò³åÏ´£¬ÒÔ¼°Ã¿ÄêÖÁÉÙ1´Î¹¬¾±Ï¸°ûѧɸ²é¡£ÌØÊâְҵȺÌåÈçµØÖÊ¿±Ì½Ö°Ô±£¬½¨ÒéÅ䱸רҵ·À»¤×°±¸¡£
Î塢ҽѧ½ôÆÈÇéÐδ¦Öóͷ£Á÷³Ì
µ±·ºÆðÒì³£¸¹Õͺϲ¢ÒõµÀ³öѪʱ£¬Ó¦×ñÕÕ"»Æ½ð2Сʱ"ÇÀ¾ÈÔÔò¡£½ÓÄÉÇüÏ¥²àÎÔλ±ÜÃâÄÚ³öѪ¼ÓÖØ£¬Á¬Ã¦ÕÉÁ¿ÑªÑ¹ºÍÂö²«ÆµÂÊ£¬¼Í¼ÒõµÀÉøÍ¸ÎïÐÔ×´¡£Èý¼×Ò½ÔºµÄ±ê×¼»¯´¦Öóͷ£Á÷³Ì°üÀ¨£ºÑªÍ¨ÀýÓë¦Â-hCGÁªºÏ¼ì²âɨ³ý¹¬ÍâÔУ¬ÔöÇ¿CTɨÃ趨λ²¡ÔÒÔ¼°ÔÚ³¬ÉùÖ¸µ¼ÏµĽôÆÈÇ幬Êõ¡£2023Äê×îÐÂÁÙ´²Ö¸ÄÏÇ¿µ÷£¬ÒÉËÆÉúÎïÐÔÒìÎïÇÖÈëÐèͬ²½¾ÙÐв¡ÔÌåDNA²âÐò¡£
ÃæÁÙÍøÂçÈö²¥µÄÀëÆæ¿µ½¡´«ÑÔ£¬ÎÒÃǼÈÒª¼á³Ö¿ÆÑ§ÀíÐÔ£¬Ò²ÒªÖØÊÓÕæÊµµÄ¸¾¿Æ¿µ½¡Î¬»¤¡£°´ÆÚÌå¼ìÁ¬ÏµÏÖ´ú¼ì²âÊÖÒÕ£¬ÄÜÓÐÓÃÔ¤·ÀÏ¢Õù¾ö99%µÄÉúֳϵͳÒì³£¡£¼Çס£ºÒõµÀÇéÐξ߱¸Ç¿Ê¢µÄ×Ô¾»ÄÜÁ¦£¬ÈκÎÎ¥·´ÆÊ½âѧ֪ʶµÄ"ÒìÎïÈëÇÖ"´«Ëµ£¬¶¼ÊǶÔÏÖ´úҽѧµÄÎó½â¡£¹Ø×¢Õý¹æÇþµÀµÄҽѧÐÂÖª£¬²ÅÊÇÊØ»¤¿µ½¡µÄ׼ȷ֮µÀ¡£